Sign Up for Email Alerts Visit us on Twitter Visit us on Facebook Visit us on YouTube Subscribe to RSS Feeds


Home > Past Briefings > Briefing Detail Page
 

Briefing Detail Page

Change Text Size:   Smaller Text Size   Larger Text Size   Default Text Size    

Health Insurance Exchanges: See How They Run


Monday, May 11, 2009

Various proposals to expand coverage to uninsured Americans and reform the health insurance market include the establishment of a health insurance exchange. The most widely discussed example of such an exchange is in Massachusetts, and it arrived recently with Massachusetts’ 2007 health reform efforts. Many are looking to the Connector, as the Massachusetts program is known, to inform their discussions of a national insurance exchange. But is that the only model?

What is actually meant by a health insurance exchange and how might it work? Would it look more like a “farmer’s market”, or would it be more heavily regulated? Who would be allowed to seek coverage through the exchange, and what might be the rules governing the conduct of plans offering the coverage? What’s in it for the consumer? How would vulnerable populations be protected? Are other reforms needed to make it work? Is there potential for cost containment with an insurance exchange model? Who stands to benefit?

An expert panel addressed these and other questions. Panelists were: Nancy Turnbull, Harvard University; Richard Curtis, Institute for Health Policy Solutions; and Linda Blumberg, Urban Institute. Ed Howard of the Alliance and Cathy Schoen of Commonwealth moderated.

Speakers

 Ed Howard, Alliance for Health Reform, Moderator
 Cathy Schoen, The Commonwealth Fund, Moderator
 Linda Blumberg, The Urban Institute, Speaker
 Richard Curtis, Institute for Health Policy Solutions, Speaker
 Nancy Turnbull, Harvard University, Speaker
(Click on the camera icon to see a video of the speaker's presentation.)

Transcript, Event Summary and/or Webcast and Podcast

Transcript: Health Insurance Exchanges: See How They Run (Adobe Acrobat PDF), 5/11/2009
Event Summary: Health Insurance Exchanges: See How They Run (Adobe Acrobat PDF), 5/11/2009
Full Webcast/Podcast: Health Insurance Exchanges: See How They Run

The full webcast and podcast for this briefing, as well as videos of individual speakers' presentations, are provided by Kaiser Family Foundation.

Speaker Presentations

Cathy Schoen Presentation (PowerPoint), 5/11/2009
Linda Blumberg Presentation (PowerPoint), 5/11/2009
Rick Curtis Presentation (PowerPoint), 5/11/2009
Nancy Turnbull Presentation (PowerPoint), 5/11/2009

(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)

Source Materials

Agenda (Word Document), , 5/11/2009
Speaker Biographies (Word Document), , 5/11/2009
Selected Experts (Word Document), , 5/11/2009
What Health Insurance Exchanges or Choice Pools Can and Can't Do About Risks and Costs (Adobe Acrobat PDF), Institute for Health Policy Solutions, 5/1/2009
Health Insurance Exchanges: See How They Run (Adobe Acrobat PDF), , 5/11/2009

Offsite Materials (briefing documents saved on other websites)

Rules of the Road: How an insurance exchange can pool risk and protect enrollees (Adobe Acrobat PDF),Center on Budget and Policy Priorities, 3/31/2009
Health Insurance Exchange: Organizing Health Insurance Marketplaces... (Adobe Acrobat PDF),Urban Institute, 4/1/2009
State Insurance Marts: A Place to Shop, Compare, and Enroll (Adobe Acrobat PDF),BlueCross BlueShield Association, 1/8/2009
Government-Sponsored Health Insurance Purchasing Arrangements: Do They Reduce Cost or Expand..., Oliver Wyman Actuarial Consulting , 6/15/2008
Bill Vaughan Testimony Before the House Committee on Ways and Means, House Committee on Ways and means, 4/22/2009
Final Report: Health Insurance Exchange Study (Adobe Acrobat PDF),Mathematica Policy Research, Inc., 3/27/2008
Employers Reject the Health Insurance Exchange (Adobe Acrobat PDF),TRL Consulting, 2/1/2008
Overview of Purchasing Pools Policy Options, RAND Compare, 4/1/2009
State Health Reform: How to Fund a Statewide Health Insurance Exchange (Adobe Acrobat PDF),The Heritage Foundation, 7/30/2007
Massachusetts Health Reform: Solving the Long-Run Cost Problem, Robert Wood Johnson Foundation / Urban Institute, 1/15/2009
Executive Summary: The Path to A High Performance Health System, The Commonwealth Fund, 2/19/2009
Report from Massachusetts: Employers Largely Support Health Care Reform..., Health Affairs, 7/14/2007
Affording Shared Responsibility for Universal Coverage: Insights From California, Health Affairs, 3/24/2009
Designing Health Insurance Market Constructs For Shared Responsibility: Insights From CA, Health Affairs, 3/24/2009

Photos

Cathy Schoen, senior vice president of The Commonwealth Fund, explored the potential for a national health insurance exchange at the May 11 briefing cosponsored by The Fund. (5 min.) Rick Curtis, president of the Institute for Health Policy Solutions, listens.

Linda Blumberg of the Urban Institute described the roles of health insurance exchanges, or connectors, in health reform at the May 11 briefing cosponsored by The Commonwealth Fund. (12 min.)

Rick Curtis, president of the Institute for Health Policy Solutions, discussed the importance of risk adjustment at the May 11 briefing on health insurance exchanges, or connectors. (11 min.) Cosponsored by The Commonwealth Fund.

Nancy Turnbull of Harvard University discussed lessons learned from the Massachusetts Health Insurance Connector at the May 11 briefing on connectors cosponsored by The Commonwealth Fund. (13 min.)

 

Briefing for Reporters on State Health Initiatives


A governor met with reporters Friday, February 19 to discuss the latest health care innovations and changes they are pursuing or implementing. Gov. Asa Hutchinson, R-Ark., discussed his experience with the state's program to move newly eligible Medicaid beneficiaries to qualified health plans, and his intentions for changes moving forward.

Read More


Health Care Consolidation: What You Need to Know


A recent whirlwind of mergers and acquisitions has thrown health care industry consolidation into the spotlight. In 2014 alone, there were 1,299 mergers and acquisitions in the health care sector at a value of $387 billion, a new record. In this roundtable for reporters, featuring a top FTC official and two experts, panelists discussed the drivers behind this recent trend; the scope and extent of consolidation among doctors, hospitals and insurers; implications for consumers and other stakeholders; and the roles of the Department of Justice (DOJ) and the Federal Trade Commission (FTC).

Click here for video
Click here for transcript

Read More 

New Toolkit on Health Care Consolidation


There were 1,299 mergers and acquisitions in the health care sector in 2014 at a value of $387 billion, both record highs. A new Alliance for Health Reform toolkit, “Health Care Consolidation,” looks at the drivers behind this trend, as well as implications for key players in the health care system and regulatory issues surrounding the issue.  Critics argue that consolidation could have a harmful impact on consumers, including higher costs, while others say some amount of activity is necessary to reshape the health care industry following changes implemented by the Affordable Care Act.

Read More 

What Tools do Patients Need? Video


What is the key to creating a more consumer-friendly and patient-centered health care system? Leading experts address challenges and potential solutions in a new Alliance video featuring Benjamin Moulton of the Informed Medical Decisions Foundation, Robin Gelburd of FAIR Health, and Tim Skeen Anthem.

Click here for video.

Read More 

Video from Reporter Roundtable on Open Enrollment III


On October 5, speakers at a reporter roundtable held at the National Press Club on open enrollment III provided the latest information about premium trends and drivers, health plan availability and new comparison tools for consumers to use in choosing health plans. They discussed trends in the role of navigators and brokers, and increasing consumer expectations, particularly around the ease of the process.

Click here for video.

Read More 

Toolkit on Connection Between Health and Housing


A new Alliance toolkit, “The Connection between Health and Housing: The Evidence and Policy Landscape,” provides a detailed look into federal, state and local initiatives, as well as cost implications for health and housing programs.

Attempts to tie health and housing policy are gaining momentum, amid evidence that housing, a social determinant of health, is an important factor in the health status of various populations. More than 610,000 people experience homelessness in the U.S., and over 250,000 individuals within that population have a severe mental illness or a chronic substance use disorder, according to the Department of Housing and Urban Development.

Read More 

Toolkit on Biosimilars


The Alliance for Health Reform has released a new toolkit, “Biosimilars: Unpacking Complex Issues.”

The Affordable Care Act created an expedited licensure pathway for biosimilars, and, in March 2015, the U.S. approved the first biosimilar, leaving policy makers, regulators, providers and stakeholders to grapple with regulatory and financial questions.

Biosimilars are similar – but not identical – to biologic drugs, and cost less. Unlike traditional pharmaceuticals, biologic drugs are derived from living organisms and tissues, making them more complex and expensive to produce.

Read More 

Experts Discuss Workplace Wellness Programs


In a new interview video, Karen Pollitz, senior fellow, private insurance and health reforms, The Kaiser Family Foundation and Dan Newton, vice president, product/solutions development and behavior economics, Anthem Care Management discuss the impact of workplace wellness programs. They address questions about regulations and program design and analyze the scope of wellness programs.

Read More 

Toolkit on Long-Term Services and Supports (LTSS)


The aging of the baby boomers and the increase in the number of old-old persons (those 85 and older) are predictors for the increasing need for long-term services and supports (LTSS). Among persons age 65 and over, an estimated 70 percent will use LTSS. A new Alliance for Health Reform toolkit, “Long-Term Services and Supports: Changes and Challenges in Financing and Delivery,” provides a background on LTSS and discusses policy issues surrounding the topic.

Read More 

Copyright 1997-2016 Alliance for Health Reform
1444 Eye Street, NW, Suite 910 Washington, DC 20005-6573      202-789-2300      202-789-2233 fax      info@allhealth.org      Sitemap